Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $109.12 / $129.19	Facility		$56.10	$109.12	$129.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $61.15	Professional		$56.10	$56.10	$61.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $58.91 / $70.27	Facility		$56.10	$58.91	$70.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $57.43	Professional		$56.10	$56.10	$57.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.02 / $56.10 / $56.10	Facility		$52.02	$56.10	$56.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $60.86 / $72.54	Professional		$56.10	$60.86	$72.54
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $58.38 / $58.38 / $58.38	Facility		$58.38	$58.38	$58.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10